Yu fil lɛk se yu ia de tan na di fɔs pat na yu ed, dat na, na ɔl tu di say dɛn na yu fɔɛd, ɛn yu skel de bigin fɔ sho? Sɔntɛm yu aybrɔw dɛnsɛf spays smɔl? Dɛn tin ya nɔ kin afɛkt yu nɔmɔ, bɔt ɔda pipul dɛn bak. Tide wi go tɔk bɔt dis kayn tin.
Wetin na dis (Frontal Fibrosing Alopecia)?
Fɔ tɔk am simpul wan, Frontal Fibrosing Alopecia, ɔ FFA fɔ shɔt, na wan sik we di ia kin fɔdɔm kɔmɔt na di frɔnt pat na yu ed, dat na di say we de nia yu fɔrɛst ɛn di sayd dɛn na yu ed, ɛn as tɛm de go, yu skel kin bigin fɔ si. If na so i bi, afta di ia dɔn fɔdɔm, i nɔ kin gro bak na dɛn say dɛn de, we min se
di ia kin fɔdɔm insay wan we we gɛt skata (scarring alopecia) . Sɔntɛnde, di ia kin lɔs bak na ɔda pat dɛn na di bɔdi, lɛk di aybrɔw, ɛn di aybrɔw kin afɛkt mɔ pan dis sik. Dis FFA kɔndishɔn kin ɔltɛm go bifo as tɛm de go. Dis min se di ia we de lɔs kin bɔku smɔl smɔl. Bɔt gud nyus de. Dɔktɔ dɛn kin kɔntrol dis growth, dat min se dɛn kin trit am fɔ mek i slo. Bɔt
di tin we impɔtant pas ɔl na dat, bɔku tɛm dɛn tritmɛnt ya nɔ kin ebul fɔ mek di ia we dɔn ɔlrɛdi fɔdɔm bak gro bak . Na dat mek i rili impɔtant fɔ no dis sik ɛn bigin fɔ trit am kwik kwik wan.
Udat kin gɛt dis (FFA) mɔ?
Frontal Fibrosing Alopecia kin kam
pan uman dɛm, mɔ afta dɛn dɔn menopause , bɔku tɛm afta dɛn dɔn ol 50. Bɔt sɔm tɛm i kin afɛkt yɔŋ uman dɛm, we yɔŋ lɛk 21. Uman dɛm we kɔmɔt na Afrika kin sho di sayn dɛm smɔl bifo tɛm, we dɛn ol 40 ia.
I nɔ kin izi fɔ mek man dɛn gɛt dis sik . pan tap dat, sכm pipul dεn de pan sכm hεvi risk fכ gεt dis ``(FFA)``. Lɛ wi si udat dɛn bi?
- If ɛnibɔdi na yu famili gɛt `(FFA)` (i.e., yu mama, sista, ɛn ɔda wan dɛn).
- If yu gɛt wan sik we dɛn kɔl rosacea (we di fes kin rɛd ɛn smɔl smɔl rɛd bɔmp dɛn kin apia).
- If yu gɛt tayroyd sik .
- If yu gɛt tayp 2 dayabitis .
Aw kɔmɔn dis kɔndishɔn (FFA)?
Frontal Fibrosing Alopecia na
rili wan sik we nɔ kin apin so ɔltɛm.. Bɔt i tan lɛk se di nɔmba fɔ di wan dɛn we dɛn de ripɔt ɔlsay na di wɔl de bɔku. Dis kin bi bikɔs pipul dɛn dɔn no bɔt dis sik naw pas aw dɛn bin de du trade, ɔ i kin bi se di nɔmba fɔ di wan dɛn we sik de rili bɔku.
Wetin mek dis (Frontal Fibrosing Alopecia) kin apin? Wetin na di tin dɛn we kin mek i apin?
fכ bi כnεst, risechכr dεm stil
nכ fכgεt εksεkεkt wetin de mek dis ``(FFA)`` de divεlכp . Bɔt dɛn gɛt sɔm tin dɛn we dɛn de sɔprayz. Tink bɔt am, wi bɔdi rili wɔndaful, nɔto so? Sɔntɛnde, i nɔ kin izi fɔ wi fɔ ɔndastand wetin de apin insay dɛn.
- Autoimmune disease : Dis na we yu bɔdi in yon imyun sistɛm , di sistɛm we de protɛkt wi frɔm sik, mistek atak yu yon ia fɔlikul. I tan lɛk se wi yon ami de atak wi. i posibul se dis (FFA) na wan kayn כtoimyun sik bak we dεn kכl laych planus, we de mek di sכl inflameshn εn ska . Dɛn kɔl am lichen planopilaris.
- Jεnεtik inflכεns : sכmtεm, pipul dεm we gεt dis ``(FFA)`` de rכn na famili, so dεn kin tink se jεnεtik kכnεkshכn kin de. Dat min se i kin bi sɔntin we dɛn kin pas fɔ lɔng lɔng tɛm.
- di כmon infכmeshכn: Bikɔs dis kin apin to uman dεm afta dεn mεnopos, dεn kin tink bak se di כmon chenj dεm na di bכdi kin gεt ifekt pan dis.
- Sɔm ɔpreshɔn dɛm: Dɛn de invɛstigat sɔm ɔpreshɔn dɛm fɔ yu fes (`facelifts`) ɛn fɔ transplant yu ia bak fɔ si if dɛn de afɛkt dis.
pan tap dat, di wan dεm we de du risach biliv se
di tin dεm we de apin na di envayroment kin ple wan rol bak, spεshal wan pan pipul dεm we gεt ``jεnεtik prεdispכzishכn''. Dat min se fɔ pɔsin we in jɛnɛtiks kin gɛt dis sik, dɛn tin ya kin mek di sik bɔku:
- Fɔ de na di say we di san de shayn bad bad wan.
- Vayrɔs infɛkshɔn dɛn .
- Sɔm mɛrɛsin dɛn .
- Sɔm pɔyzin dɛn we de insay animal it (lɛk dayɔksin) .
- Sɔm kayn tin fɔ protɛkt yusɛf frɔm di san (dis stil de na di risach stej, so nɔ wɔri).
Wetin na di sayn dɛm fɔ Frontal Fibrosing Alopecia? Aw yu no am?
Di men sayn fɔ Frontal Fibrosing Alopecia na we yu ia de lɔs na ɔl tu di say dɛn na yu fɔrɛst ɛn along di frɔnt ia layn . Dis ia we de lɔs kin bigin smɔl smɔl ɛn i kin bɔku as tɛm de go. Di skin na di say we di ia dɔn go kin luk nɔmal, ɔ yu kin notis chenj dɛn lɛk dis:
- I kin tek wan kɔlɔ we nɔ gɛt wan bɔt .
- I kin tan lɛk se na skata .
- I kin mek i tan lɛk se i de shayn .
Wan ɔda big sayn na we yu
aybrɔw kin lɔs . Sɔntɛnde dis kin bigin bifo di ia na yu ed bigin fɔ fɔdɔm. Tink bɔt am, aybrɔw na in de gi yu fes in yon luk, ɛn aw i kin sɔri we i bigin fɔ tan. Na lɛk 80% to 90% pan di uman dɛn we gɛt FFA kin gɛt di aybrɔw we kin tan. Sɔm ɔda
sayn dɛm wae kin kam fɔs kin bi:
- Dak brawn ɔ grey flat spat (hyperpigmentation) na di fes ɛn nɛk.
- I de it (pruritus) ɔ pen na di skel.
- di big big vein dεm na di fכs de sho klia wan .
- Rosacea `( Rosacea ( Rosacea ) )` kɔndishɔn (di fes rɛd, smɔl smɔl blista dɛn).
- Smɔl, yɔlɔ ɔ skin kɔlɔ blista dɛn we tan lɛk pimples na yu fɔɛd, fes, ɔ skel.
Di sayn dɛm we nɔ kin bɔku na we yu ia kin lɔs frɔm dɛn say ya na di bɔdi:
- Wit an ɔ fut.
- Wit aylash dɛn.
- Frɔm ɔda pat dɛn na di fes.
- Frɔm di prayvet eria `(Pɔblik rijyɔn)`.
- Frɔm di armpit dɛn.
Na smɔl tɛm nɔmɔ pipul dɛn we gɛt grey ia kin si sɔm pan dɛn ia kin kam bak to di fɔs kɔlɔ. Yu nɔ tink se dat na wɔndaful tin?
Aw dɔktɔ kin no dis (FFA) kɔrɛkt wan?
We yu go to dɔktɔ we gɛt prɔblɛm lɛk dis, i go aks yu fɔs bɔt dɛn tin ya:
- Yu kɔmplit mɛdikal histri (yu gɛt ɛni ɔda sik, ɛnibɔdi na yu famili bin gɛt di sem kayn prɔblɛm, us mɛrɛsin yu de tek, ɛn ɔda tin dɛn).
- Ditiɛl bɔt di sayn dɛm (we di ia we de lɔs bigin, usay na di bɔdi di ia we de lɔs de apin, i de it ɔ i de pen, ɛn ɔda tin dɛm).
Dɔn di dɔktɔ go chɛk yu gud gud wan , mɔ we i de luk dɛn say ya:
- Yu aybrɔw dɛn .
- Hairline (fɔrɛst de rayt).
- Skalp (ɛni skata de, di skin dɔn chenj in kɔlɔ, ɔ ɛni inflamɛns de?).
If
yu dɔktɔ tink se yu kin gɛt FFA, i kin disayd
fɔ tek wan smɔl pat pan di skin ɛn du wan skin bayɔpsi . Dis kin tan lɛk se i de mek pɔsin fred smɔl, bɔt i nɔto so big tin. Na dis yu de du:
- Wan smɔl ples na di skel de tingling .
- Dɔn dɛn kin pul wan smɔl pat pan di skin (fɔ sɔm milimita) .
- Dɛn kin chɛk di pat pan di skin we dɛn tek ɔnda maykroskɔp fɔ si wetin dɔn apin to di ia rut dɛn.
Apat frɔm dis, di dɔktɔ kin du sɔm ɔda tɛst dɛn bak:
- Test fɔ pul di ia:Insay dis, yu kin pul yu ia jisnɔ ɛn si aw bɔku tin kin kɔmɔt izi wan.
- Fɔ pul ɛn chɛk wan smɔl blista na di fes: Dɛn kin tek di blista ɛn chɛk am ɔnda maykroskɔp.
Dɛn tɛst ya go ɛp
yu dɔktɔ fɔ no se yu gɛt dis sik ɛn nɔto ɔda tin dɛn lɛk:
- di ia we de lכs we yu pul di ia tayt (traction alopecia).
- Boldnɛs we dɛn kin gɛt frɔm dɛn mama ɛn papa (`androgenic alopecia`).
Wetin na di tritmɛnt fɔ Frontal Fibrosing Alopecia?
Fɔ tɔk tru,
no mɛrɛsin nɔ de fɔ Frontal Fibrosing Alopecia. Dis kin tan lɛk se i sɔri, bɔt nɔ wɔri.
Tritmɛnt dɛn de we kin mek di sik nɔ go bifo kwik kwik wan, we min se dɛn kin mek di ia we de kɔmɔt na in ia slo . Yu dɔktɔ kin tɛl yu fɔ tek wan kɔmbayn mɛrɛsin. Sɔm pan dɛn tin ya na:
- Antibayɔtik: Fɔ ɛgzampul, dɛn kin gi am dɔksisayklin ɔ maynosayklin. Dɛn tin ya de wok fɔ ridyus di inflamɛns na di skel.
- Kɔtikosterɔyd: Dɛn kin gi dɛn tin ya as mɛrɛsin we dɛn kin put pan yu ed dairekt wan ɔ as krim fɔ put na os. Dɛn kin ɛp fɔ mek yu ia lɔs, mɔ na di aybrɔw.
- Finasteride (Propecia®) ɔ dutasteride: Dɛn kin gi dɛn tin ya as pils fɔ ɛp fɔ stɔp mɔ ia we de lɔs. Pan ɔl we dɛn kin gi dɛn tin ya to man dɛn, sɔntɛnde dɛn kin gi dɛn to uman dɛn bak.
- Hydroxychloroquine: Dis mɛrɛsin kin mek yu nɔ it ɛn nɔ fil pen. Sɔm stɔdi dɔn sho se if dɛn tek am ali na di sik, sɔm ia kin gro bak.
- Minoxidil: Dis na mɛrɛsin we dɛn kin put pan pɔsin in ed. We yu yuz am wit ɔda mɛrɛsin lɛk finasteride ɔ kɔtikosterɔyd, i kin ɛp fɔ mek yu ia nɔ lɔs.
Apat frɔm dɛn mɛrɛsin ya, ɔda tritmɛnt dɛn de:
- Hair grafts: Wae dεn dכn kכntrol di spred fכ di kכndyushכn (FFA) fayn fayn wan, dis mεtכd kin εp fכ mek di ia gro bak na di εmpti εria dεm.
- Laser therapy: Dis kin ɛp fɔ ridyus di it ɛn swel na di skel.
Aw lɔŋ afta a dɔn bigin tritmɛnt a kin si di rizɔlt?
Di tɛm we yu kin tek fɔ si di rizɔlt kin difrɛn difrɛn wan bay di tritmɛnt we yu de gɛt. I kin
tek ɛnisay frɔm siks to ettin mɔnt bifo yu bigin fɔ notis se yu ia dɔn go dɔŋ . So, yu nid fɔ peshɛnt wit di tritmɛnt we yu de gi yu.
We de fɔ mek (FFA) nɔ fɔm?
Fɔ tru,
no patikyula we nɔ de fɔ ridyus di risk fɔ gɛt Frontal Fibrosing Alopecia yet . Bɔt,
Di kwik we yu bigin fɔ trit yu, na di mɔ yu go gɛt chans fɔ kɔntrol di we aw yu ia de lɔs. Na dat mek i rili impɔtant fɔ go to dɔktɔ jɔs lɛk aw yu notis di sayn dɛm. If a gɛt (FFA), wetin a fɔ ɛkspɛkt?
Di rit wae de sik kin afɛkt ɛnibɔdi kin difrɛn . Sɔm pipul dɛn kin lɔs dɛn ia smɔl smɔl, ɛn ɔda wan dɛn kin lɔs am kwik kwik wan. If dɛn nɔ trit am, di ia kin lɔs mɔ ɛn mɔ as tɛm de go. Yu ia layn kin go bak insay yu skel . Yu kin gɛt bak bold pat ɔ yu ia kin lɔs pan zigzag patɛn. Bɔt sɔntɛnde, di ia we de lɔs kin stɔp fɔ insɛf, ilɛksɛf dɛn nɔ gɛt ɛni tritmɛnt. Dis nɔ kin apin to ɔlman. Aw a kin tek kia ɔf misɛf we a de liv wit (FFA)?
We yu ia lɔs kin rili mek yu at pwɛl ɛn i kin mek yu at pwɛl . I nɔ kin jɔs afɛkt aw yu de luk, bɔt i kin afɛkt yu maynd wɛl bɔdi ɛn aw yu de fil fayn. So, fɔ tɔk bɔt aw yu de fil wit yu tayt padi dɛn, fambul dɛn, ɔ pɔsin we de mɛn yu kin rili ɛp yu . Mɛmba se nɔto yu wangren de du dis. Dɔn bak, i go fayn if yu kin jɔyn sɔpɔt grup usay pipul dɛn we gɛt `(FFA)` kin kam togɛda. We yu tɛl ɔda pipul dɛn we de gɛt di sem prɔblɛm we yu gɛt, dat kin mek yu fil fayn ɛn yu kin lan bɔku tin. Di tin we impɔtant pas ɔl na fɔ bigin tritmɛnt fɔ ``(FFA)`` kwik kwik wan. Di mɔ yu wet, na di mɔ yu ia go lɔs.
Yu kin kia fɔ yusɛf bak bay we yu de du dɛn tin ya:- Bifo yu tray ɛni mɛrɛsin na os fɔ mɛn yu ia we yu go si na di Intanɛt, mek shɔ se yu tɔk to yu dɔktɔ . Nɔ tray ɛnitin we yu nɔ go to yu dɔktɔ, bikɔs sɔm tin kin mek di sik wɔs.
- Minim di yus fɔ ɔt stayl tul dɛn lɛk kɔl ayɔn ɛn ia drya as mɔ as yu ebul . Dis kin ɛp fɔ ridyus di inflamɛns na di skel we ɔt kin mek.
- Tɔk to yu hairstylist bɔt wan hairstyles we go ɛp fɔ ayd di hair loss smɔl . Sɔm haircuts kin ɛp fɔ manej dis smɔl.
- We yu de was yu fes, yuz tin dɛn we nɔ gɛt wan sɛnt fɔ klin yu fes . Dis kin mek di skin nɔ rit.
- If yu lɛk, wɛr sɔntin lɛk hat, fayn edband, ɔ wig . If dis ɛp yu fɔ gɛt smɔl kɔnfidɛns, dat na fayn tin.
Ustɛm a fɔ go to di dɔktɔ bak?
If yu de wɔri bɔt ɛni bad bad tin we go apin to yu frɔm di tritmɛnt dɛn we yu de tek, mek shɔ se yu go to yu dɔktɔ.. I kin advays yu bak bɔt aw fɔ ɛp fɔ ridyus di we aw yu ia de lɔs, lɛk fɔ yuz paoda dɛn we de mach yu skin. Nɔ fɔgɛt fɔ si yu dɔktɔ we yu de du tritmɛnt lɛk aw dɛn tɛl yu. So, wetin na di tin dɛn we wi nid fɔ mɛmba frɔm ɔl dɛn tin ya?
Frontal Fibrosing Alopecia (FFA) na wan sik we de mek yu ia lכs na di fכnt εn sayd dεm na di ed, we de lεf ska. I kin lɔs bak frɔm say dɛn lɛk di aybrɔw ɛn aylash. Bɔrku tɛm i kin afɛkt uman dɛn afta dɛn dɔn menɔpauz, bɔt i kin afɛkt yɔŋ pipul dɛm bak ɛn, nɔr kin afɛkt man dɛm. Wi nɔ no di rayt tin we kin mek i apin, bɔt dɛn tink se na di ɔtoimyun rispɔns, di jɛnɛtiks, ɔ di ɔmon dɛn. Dɔktɔ kin no am bay we i de chɛk di say we i de, ɛn sɔntɛnde i kin tek wan smɔl pat pan di skin (wan bayɔpsi na di skin). Bɔku tɛm, di tritmɛnt kin gɛt fɔ du wit sɔm mɛrɛsin dɛn we dɛn jɔyn togɛda. Pan ɔl we dɛn nɔ kin ebul fɔ mɛn FFA ɔltogɛda, di tin we impɔtant pas ɔl na dat if dɛn bigin fɔ trit am kwik, dɛn kin kɔntrol di we aw i de skata bɔku tɛm . So, if yu gɛt dɛn sik ya, nɔ shem fɔ go to dɔktɔ ɛn aks fɔ advays. Frontal Fibrosing Alopecia, FFA, Iɛ we de lɔs, Fɔrɛst ia we de lɔs, Aybrɔw we de tan, Skalp sik, Uman dɛn wɛlbɔdi, Menopause, Skin sik, Sinhala
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